New Hampshire Respite Care Agency Policy Manual

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The New Hampshire Respite Care Agency Policy Manual provides a comprehensive operational framework for agencies delivering respite care services to individuals with disabilities, chronic conditions, or age-related needs—and their caregivers—across New Hampshire. This manual aligns with the regulations established by the New Hampshire Department of Health and Human Services (DHHS), including the Bureau of Elderly and Adult Services (BEAS) and the Bureau of Developmental Services (BDS). It also ensures compliance with Medicaid Home and Community-Based Services (HCBS) waiver programs such as the Choices for Independence (CFI) Waiver and the Developmental Disabilities (DD) Waiver. The manual includes policies and procedures governing agency enrollment and certification, participant and caregiver eligibility, needs assessment and person-centered planning, in-home and out-of-home respite care options, staff qualifications and training, caregiver support and coordination, participant rights and protections, emergency preparedness, health and safety protocols, documentation and billing, incident reporting, and quality assurance. It supports both planned and emergency respite care, offering temporary relief for primary caregivers while ensuring the comfort, safety, and continuity of care for the individual receiving services. This manual serves as a foundational resource for respite care providers in New Hampshire, ensuring the delivery of high-quality, compliant, and compassionate services that protect caregiver health, enhance participant well-being, and help families sustain long-term caregiving relationships.